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Table 2 Six-month cost analysis comparison of the expected costs of enoxaparin and fondaparinux over six months (estimates relate to a patient with “average” characteristics [4], adapted from Table 2 in US analysis’)

From: Cost-effectiveness of fondaparinux versus enoxaparin in non-ST-elevation acute coronary syndrome in Canada (OASIS-5)

 

Cost of eventb (95 % Cl)

Probability of event (95 % Cl)

Cost per patientc (95 % Cl) (2009 CADS)

Event/resource use

(2009 CAD $)

Enoxaparin

Fondaparinux

Enoxaparin

Fondaparinux

Death

−691 (−4943, 3487)

0.046 (0.042, 0.050)

0.041 (0.038, 0.045)

−28 (−225, 157)

−2 5 (−203, 141)

Non-fata Ml

15,021 (10,997, 19,053)

0.049 (0.046, 0.055)

0.047 (0.043, 0.052)

752 (527, 978)

712 (505, 927)

Non-fatal stroke

18,755 (10,698, 26,864)

0.011 (0.009, 0.014)

0.007 (0.006, 0.009)

217 (113, 340)

141 (76, 226)

Non-fatal Ml & Stroke

3407 (−29,232, 35,980)

0.0006 (0.0005, 0.0007)

0.0003 (0.0003, 0.0005)

2 (−17, 20)

1 (−10, 13)

Major bleed

17,553 (13,827, 21,023)

0.052 (0.048, 0.057)

0.038 (0.034, 0.042)

921 (728, 1126)

665 (524, 823)

Minor bleed

3604 (171, 7182)

0.071 (0.066, 0.077)

0.036 (0.032, 0.040)

257 (10, 521)

129 (5, 254)

Enoxaparin Treatment

60

1

0

60

0

Fondaparinux Treatment

63

0

1

0

63

Other costsd

24,143 (22,785, 25,425)

1

1

24,143 (22,785, 25,425)

24,143 (22,785, 25,425)

Tota mean cost

   

26,302 (25,042, 27,473)

25,864 (24,689, 27,025)

Difference in mean costs

    

$-439 (−2069, 1322)

  1. Ml Myocardial infarction, Cl Confidence interval, CAD Canadian dollars
  2. aCovariates at mean values are Age 67.1; proportion male 0 62; proportion with history’ of: heart failure 0 14. diabetes 0 25. hypertension 0 67. ST depression 0 51; creatinine quartiles quartile 1 0 26. quartile 2 0 26. quartile 3 0 25. quartile 4 0 23
  3. bResults of the cost regression relating to patients randomized in Canada (n = 1.403) (2009 CAD $)
  4. cEstimated by multiplying the probability of event times cost of event, when performing the probabilistic sensitivity analysis
  5. dBackground cost associated with patients who experienced ischemic heart disease